Another Spectrum

Personal ramblings and rants of a somewhat twisted mind

On flu shots and statistical nonsense

8 Comments

This morning I took a pleasant twenty minute walk to my doctor’s surgery for a flu shot. This was the first time I have had a jab for the flu. It’s not that I’m afraid of injections, it’s just that I’ve never felt the need to be vaccinated against the flu.

Firstly, I’m one of those fortunate people who seldom catch the flu. If I do, It’s no more than a very minor nuisance.

Secondly flu shots aren’t cheap. My bank account would likely be lighter by around $50. That’s not an inconsiderable amount when my only regular income is my superannuation.

So why did I have one today?

It was free. As I recently turned 65, the health system in its wisdom has decided that I am eligible for a free flu vaccination. Do I really need it? possibly not. If the doctor’s surgery hadn’t phoned me, I would not have bothered But if it’s free, it’s worth considering. Besides, I’m not getting any younger, so I guess that the odds of becoming seriously ill with the flu is increasing.

While I was waiting the mandatory ten minutes after the shot before being allowed to leave, I picked up the morning newspaper. An article on the front page was titled “Dumb ways to . . . end up in hospital”. The statistics looked dubious immediately as one of the first “facts” they presented was that there were “nearly 200,000 hospital discharges in 2012”. That seemed to be an extraordinary low number for a population of 4.5 million people.

The article then went on to say that you were more likely to end up in hospital being injured by a powered lawn mower than being injured by a gun. Over 200 were injured by power mowers which means than more than 1 in a thousand admissions to hospital were caused by lawn mower injuries. That seemed an impossibly high rate. Perhaps I should stop mowing my lawn.

Following a few other statistics about the number of discharges following dog bites compared to bee and wasp stings, and similar inconsequential injuries, the article mentioned that almost 70,000 patients were discharged after suffering injuries arising from their medical or surgical care. What!? One in three people were injured while in hospital?

I’ve been in hospital more than 10 times over that last few years, so either I’ve been incredibly lucky, or there’s something I don’t know about but should. Then I remembered that lies and statistics often go hand in hand, and resolved to clarify the fact when I returned home.

Although I couldn’t find the statistics for the year quoted in the newspaper, I did manage to locate the statistics for the preceding year. And they paint a quite different picture.

The “nearly 200,000” referred not to total discharges, but to hospital discharges involving unintentional and intentional injury.The total number of discharges was a little over one million. This puts the rest of the statistics in a more reasonable light. The “statistic” on in hospital injuries included complications after surgery, abnormal reactions to medication, no matter how minor and several other cstegories. Actual “medical misadventures” totalled less than 500, or less than 0.05%. I can breathe a sigh of relief.

The statistic of one in a thousand discharges following lawn mower accidents drops to one in a thousand injuries requiring hospitalisation. Perhaps I’ll have to find another excuse to avoid mowing the lawn. 189 people were discharged following “contact with a powered lawnmower”, while 73 were discharged following firearms injuries. The statistics don’t mention the number of deaths, and as admissions nationwide don’t seem to be kept, I’m not able to ascertain the relative danger mowers and guns, but I think I can sleep safely knowing that mowers are more of a threat to life and limb than a gun.

One interesting fact that struck me was the difference in the rate of discharges between males and females. The total rates are quite similar, but of the more than 700 types of injuries listed I am hard pressed to find any where male injuries are less frequent than female injuries. For almost all types, males are two or three times more likely to be hospitalised than females. In the case of guns, 71 of the 73 cases were male, while for lawn mowers, 143 of the 189 cases were male. So far the only injuries I have found where females clearly outnumber males is falls on stairs (2341 vs 1431) and unspecified falls (3389 vs 2196). The disparity of injuries between the sexes is worthy of a post in itself.

I’ve always had a healthy dose of cynicism when reading/watching news, and the article in question does nothing but to reinforce that cynicism. It’s a shame that so many people are easily taken in by “facts” without doing a little research of their own.

Advertisements

Author: Barry

A post war baby boomer from Aotearoa New Zealand who has lived with migraines for as long as I can remember and was diagnosed as being autistic aged sixty. I blog because in real life I'm somewhat backwards about coming forward with my opinions.

8 thoughts on “On flu shots and statistical nonsense

  1. Interesting article. Also interesting is how terminology is different there than it is here. For example, you talked about going to your doctor’s surgery to get your flu shot. Here we’d say doctor’s office, because here, the word “surgery” means you’re going to be on an operating table and probably knocked out by anesthesia and some doctor, hopefully a good one, is going to cut you open to repair or remove something.

    The other difference is your referring to hospital discharges. Here we would typically refer to them as hospital admissions.

    And finally, I am always skeptical about statistics published in newspapers, magazines, and in broadcast or cable news. It seems many reporters or journalists will put there own spin on the statistics or how they are to be interpreted or will miss critical factors, as was the case in what you read. I always try, when I read or hear quoted statistics, to go to the source and, especially, to read the fine print and to understand the methodology. Otherwise, I might be caught quoting statistic inaccurately and drawing an incorrect conclusion. I hate when that happens!

  2. The statistics were for discharges, which was why I used that term. To me, admissions seems more logical, but for some reason nation wide statistics aren’t kept for admissions. Individual hospitals do keep records on admissions, but they are less detailed, possibly because a patient’s condition is not always fully known.

  3. I’m suspicious of the difference between male and female discharges due to “falls” both on stairs and unspecified. Perhaps women do more work in the house and hence are more likely to fall in the house. But still, I am suspicious that falls are often use as an excuse for physical abuse by a partner.

    • My wife and I have been together for almost 5 years and during that time she has made 3 visits to the doctor for injuries resulting from a fall. I can assure you that none of these were due to physical abuse. It’s the smallest sample size possible, but in this household, the statistic holds water.

      • Just a casual enquiry among acquaintances shows a predominance of falls occurs in females. Generally it seems to be standing on a chair or stepladder and trying to grasp something just out of reach. I know females tend to be more risk averse than males, so perhaps this is a case of females not recognising the risk. My wife has suggested that it’s because men deliberately put things just out of reach of their wives, but we all know that’s not true, don’t we?

        • In my wife’s case, it is usually due to our small children darting in front of her. When she tries to avoid running over them, she ends up hurting herself.

        • Yeah, my wife has done that several times, but in her case it’s grandchildren. As I’m fourteen inches taller than her I often put items out of her reach unintentionally, so it’s quite common for her to use a stool or stepladder to retrieve them. We’ve been wise enough to invest in stools and stepladders that are virtually impossible to tip over to reduce the chance of an accident.

  4. My observation was that while the total number of injuries were were similar for both genders, males were significantly higher in all of the 700+ classifications – often over 10 times more for males. I haven’t had a chance to examine the statistics any further. Those examples with fall were the only two I found where females significantly outnumbered males.

    Some of those fall may be due to domestic violence – it’s a big problem here. But health workers are well trained in recognising excuses. I think that’s another reason why discharge instead of admission statistics are kept. A patient might claim that the injuries were caused by a fall, but subsequent investigation reveals something else.

    I did see a section where injuries were caused by physical violence, but I only gave it a cursory glance. From memory males far outweighed females there as well.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s